Consent: Rules about Obtaining Consent to Disclose Treatment Information Edmonds WA

Most general rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31.

Alternative Counseling Edmonds
(425) 776-6414
22727 Highway 99
Edmonds, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Russian

Data Provided by:
A New Spirit Recovery Program Inc
(425) 771-1194
22617 76th Avenue West
Edmonds, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Coles Counseling Center Inc
(425) 778-7118
8923 236th Street SW
Edmonds, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
La Esperanza Health Counseling Servs
(206) 306-2690
19909 64th Avenue West
Lynnwood, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Assessment and Treatment Associates
(425) 289-1600
21907 64th Avenue West
Mountlake Terrace, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Lakeside Milam Recovery Centers Inc
(425) 670-3664
7935 Lake Ballinger Way
Edmonds, WA
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Center for Counseling and
(425) 771-5166
547 Dayton Street
Edmonds, WA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Alpine Recovery Services Inc
(425) 778-1136
3924 204th Street SW
Lynnwood, WA
Hotline
(800) 562-1240
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, DUI/DWI offenders, Criminal justice clients

Data Provided by:
CRC Lynnwood Clinic
(425) 672-7293
18631 Alderwood Mall Parkway
Lynnwood, WA
Hotline
(877) 637-6237
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Chinese, Creole, French, Russian, Spanish

Data Provided by:
Asian-American Chemical Dependency
(425) 776-1290
5108-196th Street SW
Lynnwood, WA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Korean, Vietnamese

Data Provided by:
Data Provided by:

Consent: Rules about Obtaining Consent to Disclose Treatment Information

Consent: Rules About Obtaining Consent To Disclose Treatment Information

The most frequently used exception to the regulations’ general rule prohibiting disclosure is client consent. (Parental consent must also be obtained in some States. See below.) The regulations’ requirements regarding consent are strict and somewhat unusual and must be carefully followed.

Most disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31:

1. The name or general description of the program(s) making the disclosure

2. The name or title of the individual or organization that will receive the disclosure

3. The name of the client who is the subject of the disclosure

4. The purpose or need for the disclosure

5. How much and what kind of information will be disclosed

6. A statement that the client may revoke (take back) the consent at any time, except to the extent that the program has already acted on it

7. The date, event, or condition upon which the consent will expire if not previously revoked

8. The signature of the client (and, in some States, his or her parent)

9. The date on which the consent is signed (§2.31(a)).

A general medical release form, or any consent form that does not contain all of the elements listed above, is not acceptable. (See the sample consent form in exhibit 3–1.) ...

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